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Aetna supplemental insurance

Started by stormycyclist53 · · 👁 12 views · 214 replies

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Participants stormycyclist53Lawrence Cruzmellowgull80Peter Perez66Ryan Carter52Mark Millerswiftbear86Charles Stewart60redcrane22Timothy RobertsScott Alvarez4Alex CastilloHannah Newman2Gerald Torres50Jose Lopez7frozenorca63Joshua Gray75urbanharbor95Steven Miller14casualtrucker7Edward Hall3velvetskipper8Casey Anderson45Christian Hernandez11 …
Raymond Davis3 Raymond Davis3 Newcomer
2 messages
joined Jun 2016
#101 ·
Hey everyone

Got a quick question... really hoping this is just some fake news. :-/
I heard a rumor that starting July 1st, Aetna won't be covering the Tier 2 drug list anymore??
Anyone know what's actually going on?

I can't find anything on their website and I'm too busy to call them right now... so figured I'd check here. Maybe one of you has the scoop.
Thanks in advance!
Charles Stewart60 Charles Stewart60 Member
30 messages
joined May 2014
#102 ·
Raymond Davis3 said:Hey everyone

Got a quick question... really hoping this is just some fake news. :-/
I heard a rumor that starting July 1st, Aetna won't be covering the Tier 2 drug list anymore??
Anyone know what's actually going on?

I can't find anything on their website and I'm too busy to call them right now... so figured I'd check here. Maybe one of you has the scoop.
Thanks in advance!

it's true 😵
The notices were already sent out to people who rely on those Tier 2 drugs 🙂

Huge losses on the Tier 2 list are the reason... they might only negotiate contracts without including the Tier 2 stuff
Raymond Davis3 Raymond Davis3 Newcomer
2 messages
joined Jun 2016
#103 ·
thanks for the reply
oh man... I literally just switched over to them last month.. specifically because of that B-list coverage. what a joke.. :-/

does anyone know of another provider that actually covers the B-list?
swiftbear86 swiftbear86 Active Member
211 messages
joined Jun 2012
#104 ·
I heard this only applies to people looking to sign up for a new policy. Apparently, if you've already signed your contract, the current terms stay in place until your coverage actually expires.
electricbadger89 electricbadger89 Regular
423 messages
joined May 2019
#105 ·
I think Allstate has a B-list

Sent from my 6045K via Reddit
granitemaker26 granitemaker26 Newcomer
2 messages
joined Jul 2016
#106 ·
I dropped my supplemental coverage through the state agency last month—not exactly thrilled with how things were going—and now I’m looking to switch. Does anyone have recommendations for a solid provider that actually covers international medical costs? I've got some travel plans coming up.
Thanks in advance for any leads.
gentlecrane31 gentlecrane31 Member
10 messages
joined Sep 2013
#107 ·
driftingpilot142 said:A State Farm policy for the B-list plan runs about $32 a month, which adds up to $388 over the course of a year... whereas the A-list coverage is $22.... if you’re looking to grab a policy, just shoot me your info in my DMs and I’ll give you a call...

Hi there, I would really appreciate it if someone could reach out to me privately. I had an incredibly frustrating experience today regarding my American insurance (B-tier plan) which I've held since July 2014... Basically, WITHOUT ANY NOTICE, > my policy was just canceled. Apparently, the B-tier plan doesn't even exist anymore, and the company just terminated the contract on their own without letting me know...
This morning at the CVS pharmacy, both the pharmacist and I were caught completely off guard... and my wallet suffered too... Because of this total lack of respect for customers, I ended up having to pay out of pocket for a life-saving medication $117....
The customer service reps at the call center didn't even have an answer as to why the policy was canceled, even though my supplemental card shows it should be valid until July 2017
So, everyone, please be careful
swiftbear86 swiftbear86 Active Member
211 messages
joined Jun 2012
#108 ·
From what I’ve gathered, Cisco doesn't even offer those B-list policies anymore.

Back in May or June, most people were getting notices in the mail. They were citing some new law that hasn't even actually passed yet, basically telling everyone they needed to either sign off on a policy for $30 (which leaves out the B-list stuff) or just cancel their coverage entirely.
I’m honestly not sure what happens if you just ignore the notice and don't send anything back.
I never got a notice myself, and since my policy is expiring soon, I'm not planning on renewing with Cisco anyway. Allstate offers the B-list option, though they do have age limits based on how old you are.
I know a few people who got the notice but didn't bother sending back their consent for $30, and nothing has happened to them so far—maybe it's just because we're in the middle of the new insurance year.

If your policy runs through July 2017, did they just let it lapse once the new year kicked in?🤔
gentlecrane31 gentlecrane31 Member
10 messages
joined Sep 2013
#109 ·
swiftbear86 said:From what I’ve gathered, Cisco doesn't even offer those B-list policies anymore.

Back in May or June, most people were getting notices in the mail. They were citing some new law that hasn't even actually passed yet, basically telling everyone they needed to either sign off on a policy for $30 (which leaves out the B-list stuff) or just cancel their coverage entirely.
I’m honestly not sure what happens if you just ignore the notice and don't send anything back.
I never got a notice myself, and since my policy is expiring soon, I'm not planning on renewing with Cisco anyway. Allstate offers the B-list option, though they do have age limits based on how old you are.
I know a few people who got the notice but didn't bother sending back their consent for $30, and nothing has happened to them so far—maybe it's just because we're in the middle of the new insurance year.

If your policy runs through July 2017, did they just let it lapse once the new year kicked in?🤔

How do you mean—the new year starts and they just cancel the policy???... A lady from the United States told me, quite distraught, that she emailed a screenshot showing—get this—that her request to cancel the policy was sent on July 7th, but it wasn't actually canceled until July 22nd... and all of this happened without my knowledge or any way to respond... while I was under the foolish impression that I still had supplemental coverage..
All in all, it's incredibly unprofessional and frankly quite ugly behavior from such a massive company.
swiftbear86 swiftbear86 Active Member
211 messages
joined Jun 2012
#110 ·
They definitely should have reached out to let you know one way or another.

Here’s how I see it—an insurance year is just a 12-month cycle starting from whenever your coverage kicked in. You mentioned your card shows an expiration around the 6th or 7th month of the year, which basically means once that date hits, a brand new policy year starts up. Usually, unless you explicitly ask to cancel, everything just rolls over automatically. If you actually want to end the coverage, you've got to give them a heads-up in writing ahead of time. Honestly, Cisco made things unnecessarily messy this year; at the slightest hint that the government might hike up supplemental rates (which didn't even happen), they started blasting out notices saying prices were going up and they were cutting certain coverage tiers.
I don't get why they'd even send you a bill if you haven't signed off on anything.
My cousin didn't bother sending back his signed notice, and he's still getting billed at the old rate. The big question is whether he’ll run into the same headache next month when he's standing at the pharmacy counter facing a massive out-of-pocket cost for his meds.
gentlecrane31 gentlecrane31 Member
10 messages
joined Sep 2013
#111 ·
swiftbear86 said:They definitely should have reached out to let you know one way or another.

Here’s how I see it—an insurance year is just a 12-month cycle starting from whenever your coverage kicked in. You mentioned your card shows an expiration around the 6th or 7th month of the year, which basically means once that date hits, a brand new policy year starts up. Usually, unless you explicitly ask to cancel, everything just rolls over automatically. If you actually want to end the coverage, you've got to give them a heads-up in writing ahead of time. Honestly, Cisco made things unnecessarily messy this year; at the slightest hint that the government might hike up supplemental rates (which didn't even happen), they started blasting out notices saying prices were going up and they were cutting certain coverage tiers.
I don't get why they'd even send you a bill if you haven't signed off on anything.
My cousin didn't bother sending back his signed notice, and he's still getting billed at the old rate. The big question is whether he’ll run into the same headache next month when he's standing at the pharmacy counter facing a massive out-of-pocket cost for his meds.

It wasn't even a surcharge—my coverage was completely terminated, so I had to pay the full price for my medication. That's exactly why I'm so frustrated! I'm actually planning to take my unexpired card, a printout of their screen, and the receipt to go find out exactly what I can do about this...🕺 🕺 And yeah, a lady told me over the phone yesterday that I'm definitely not the only one they failed to notify or the only one complaining. She even said people are suing them.🤦 🤦
And of course, I went ahead and switched to the Allstate preferred list... for $22...
swiftbear86 swiftbear86 Active Member
211 messages
joined Jun 2012
#112 ·
I think there might be some confusion here🤔.
How exactly did you end up paying the full retail price for the medication?

With an Aetna supplemental plan that includes a B-list, you should have been covered for $3.25 both the copayments and the out-of-pocket costs for drugs on that specific list. If you paid the full sticker price, it sounds like the drug wasn't listed on either tier.
Take a quick look at your pharmacy receipt to see the exact breakdown. It usually lists the full price first, followed by any adjustments, then the copay, the tax, and finally the amount being billed to Medicare.
gentlecrane31 gentlecrane31 Member
10 messages
joined Sep 2013
#113 ·
swiftbear86 said:I think there might be some confusion here🤔.
How exactly did you end up paying the full retail price for the medication?

With an Aetna supplemental plan that includes a B-list, you should have been covered for $3.25 both the copayments and the out-of-pocket costs for drugs on that specific list. If you paid the full sticker price, it sounds like the drug wasn't listed on either tier.
Take a quick look at your pharmacy receipt to see the exact breakdown. It usually lists the full price first, followed by any adjustments, then the copay, the tax, and finally the amount being billed to Medicare.

No, the B-list used to cover the supplemental cost of $26 that I would have normally dealt with under the A-list. Since the United States unilaterally canceled my supplemental insurance policy, I don't have that coverage anymore. So, I'm stuck paying the full retail price just like anyone else without extra insurance—Medicare just picks up whatever is left. This specific medication usually goes for about $233 when it's just sitting on the shelf in retail stores.
swiftbear86 swiftbear86 Active Member
211 messages
joined Jun 2012
#114 ·
gentlecrane31 said:No, the B-list used to cover the supplemental cost of $26 that I would have normally dealt with under the A-list. Since the United States unilaterally canceled my supplemental insurance policy, I don't have that coverage anymore. So, I'm stuck paying the full retail price just like anyone else without extra insurance—Medicare just picks up whatever is left. This specific medication usually goes for about $233 when it's just sitting on the shelf in retail stores.

When people talk about the "full price" of a drug, they mean what you pay via a private prescription if you don't have health insurance, or if the drug isn't covered by Medicare, or if your specific diagnosis doesn't meet the Medicare guidelines for Plan A or Plan B.

Since a "copay" implies the drug is on the supplemental list (Plan B), I'm a little confused by what you wrote in bold above.

The primary list consists of basic medications that don't require a copay because Medicare covers the entire amount.
The full price of the medicine is $233, just like you mentioned.
If your supplemental policy was canceled, you basically paid $3.25 for the standard copay plus the extra cost for a Plan B drug. So, technically, you didn't pay the full retail price of the drug, you just paid the supplemental copay.

We really need to nail down these definitions so there isn't any confusion.

Full price = the drug isn't covered by Medicare at all.
Copay = $3.25 what you pay per prescription regardless of whether it's on List A or B, assuming you don't have supplemental insurance.
Supplemental cost = the amount Medicare sets for drugs on the supplemental list (Plan B).


Anyway, it feels like Cisco is acting like they couldn't care less, so now Allstate sees an opportunity to step in. I wonder how long they'll actually keep offering that Plan B coverage, but honestly, it doesn't matter to me—I've already signed up with them.😁
Amanda Taylor2 Amanda Taylor2 Newcomer
4 messages
joined Mar 2017
#115 ·
You aren't the first person to deal with them just cutting off your insurance out of nowhere. They actually went and canceled mine retroactively—get this: back in early August, they used their card to cover a co-pay at the hospital for some bloodwork (TSH levels), the transaction cleared, and the amount was billed through Coca-Cola. Then, suddenly, at the start of September, I get a letter saying I have to PAY THEM BACK $17 because apparently, the policy was voided on some random date... basically, they wiped it out at least 20 days before that. The hospital payment went through fine because the coverage was still active at the time. So, really, what else can you expect from a company like this? Honestly, after spending 22 years working in IT, I felt physically sick dealing with them. I didn't even bother trying to intimidate them—just did it for my own peace of mind so I wouldn't lose my cool—and just paid them the money. How "professional" can you get? It's like nobody from Cisco even bothered to reach out to me, either before or after, to talk about renewing the policy... instead, they just killed a perfectly valid one. I always thought it was impossible for a private company to be managed worse than a government agency, but I guess I was wrong 🙂

Sent from my Motorola
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#116 ·
steelcobra74 said:I personally have a Coca-Cola card through my employer. I signed a contract involving some union agreements for $25 a month for a three-year term, and that period has just wrapped up. My previous card was white, which covered both drug formularies as far as I knew. They reached out to me about a month in advance to see if I wanted to renew the contract. I told them I was definitely interested, provided the terms stayed exactly the same. They agreed, and I just received my new card today, which still covers both lists for $25 monthly.

Over those three years, I visited my doctor several times for spinal X-rays, MRI scans, and physical therapy. Regarding PT, the only thing they asked was what color my insurance card was just to check if I’d have any out-of-pocket costs. I also hit the pharmacy quite often, mostly for analgesics and a few other medications that I know others end up paying extra for, but believe me, I didn't spend a single cent out of my own pocket during those three years. Basically, all I paid was $25 monthly. I assume that's roughly what people pay nowadays at Coca-Cola, about $32 monthly. There were zero $3.25 at the pharmacy or at my primary care physician. What surprised me most was that for three weeks of physical therapy, the MRI, the X-rays, specialist consultations, etc., I didn't owe anything. Consequently, I didn't even have to submit any claims to Coca-Cola for reimbursement. Every pharmacy I used had the Coca-Cola sticker on it, as did the medical centers and other facilities. In places where there wasn't a sticker—like at a specific physiatrist—I simply asked first.

Actually, three years ago, it felt like $43 was way too much for supplemental coverage through Medicare, so I tried setting money aside just in case I needed to cover doctor visits. However, I couldn't always stay disciplined; I ended up needing that cash for other things and spent it. Then I stumbled upon this promotion through my company. So, that's my experience with Coca-Cola. I hope this helps someone. I wasn't entirely sure what to expect from a private provider at first, but honestly, Coca-Cola has been a pleasant surprise.

I'm in the exact same boat, though I have to admit, reading all your horror stories has me a little spooked.

I actually reached out to my Coca-Cola agent just yesterday to ask if there were going to be any changes to the coverage lists. Still waiting to hear back.

I really hope Allstate actually maintains a "List B" if Coca-Cola ends up scrapping theirs—otherwise, I honestly don't know how I'll afford the medications I need to take for a lifetime.
fadedbear92 fadedbear92 Veteran
1.1K messages
joined Dec 2008
#117 ·
Does anyone have solid info on whether Cigna is going to scrap the B list? My agent hasn't gotten back to me yet—funny how they’re lightning-fast when it's time to renew my policy, though.👎
casualtrucker7 casualtrucker7 Member
45 messages
joined Nov 2009
#118 ·
fadedbear92 said:Does anyone have solid info on whether Cigna is going to scrap the B list? My agent hasn't gotten back to me yet—funny how they’re lightning-fast when it's time to renew my policy, though.👎

I think Cigna doesn't really use a B list anymore. I switched over to Allstate supplemental coverage—they offer both A and B lists for $22. The only thing is you have to pay for your meds upfront at the pharmacy, then they just reimburse you once you send over the receipt.
Raymond Anderson81 Raymond Anderson81 Newcomer
7 messages
joined Aug 2017
#119 ·
fadedbear92 said:Does anyone have solid info on whether Cigna is going to scrap the B list? My agent hasn't gotten back to me yet—funny how they’re lightning-fast when it's time to renew my policy, though.👎

Well, I just got the official notice in the mail today: the B-list is being phased out starting next insurance year.
Raymond Anderson81 Raymond Anderson81 Newcomer
7 messages
joined Aug 2017
#120 ·
For anyone currently hunting for new supplemental insurance because of those changes to the prescription drug coverage lists, here is a bit more context:

There’s been some chatter about Uniqa, but keep in mind they don't have physical branches everywhere—for instance, you won't find one in Toledo.

Now, GEICO does have an office in Toledo, and they actually cover that specific tier of medications; the premium for the supplemental plan comes out to $23.

Personally, I’m leaning toward GEICO—mostly because having a local branch in my city means I can actually walk in and hand over my receipts to claim those medication reimbursements myself.

They typically process the refunds within a two-week window.

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